Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ophthalmic Facial Plastic Surgery Institute a Medical Corporation

Organization Specialist · NPI 1639119050

Ophthalmic Facial Plastic Surgery Institute a Medical Corporation provides Specialist services in Fullerton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

301 W Bastanchury Rd Ste 191
Fullerton, CA 92835-3419 Not confirmed with CMS for 13 years — call before visiting
Phone: (714) 449-1940
Fax: (714) 449-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence WG62027I (CA)

Record details

NPI number1639119050
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOphthalmic Facial Plastic Surgery Institute a Medical Corporation
Authorized official Sam Goldberger — President · (714) 449-1940
NPI enumeratedJune 7, 2006
Last updated in NPPESFebruary 1, 2013
Mailing address9735 Wilshire Blvd., Ste 319, Beverly Hills, CA 90212-2100

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